Claimants and doctors conspiracy for federal workers’ compensation fraud uncovered in Puerto Rico

Posted on Jan 04, 2014

A Puerto Rican federal grand jury indicted ten workers and two doctors in a complicated scheme to defraud OWCP and the Social Security Administration out of workers’ compensation and Social Security Disability benefits.   The group was under investigation for over two years before the indictments were handed down.  Nearly $620,000.00 in Medicare benefits, lost wages, and disability benefits was taken from the federal government by the scheme.

A group of ten workers used cooperative medical providers to document their false injuries and subsequent impairments.  Two doctors, Luis E. Faura-Clavell, and Alfonso A. Madrid-Guzmán allegedly would examine the claimants and vouch for their claimed conditions.  The doctors also supposedly profited from the situation by charging up to $1650.00 each for the fake medical diagnoses and opinions.  

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